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N94.89 ICD-10-CM Code: Other specified conditions associated with female genital organs and menstrual cycle

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 742 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC (MDC 13)
  • MS-DRG 743 — UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC (MDC 13)
  • MS-DRG 760 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC (MDC 13)
  • MS-DRG 761 — MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC (MDC 13)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coder workflow for N94.89

MedCoder structured workflow — derived from this code’s own official record

Before you code N94.89

  1. “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on N94.89; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).

    ReviewN94.81

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. N94.89’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is N94.89 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Other specified conditions associated with female genital organs and menstrual cycle is a billable ICD-10-CM diagnosis code (N94.89).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (40)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name N94.89 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 11 Excludes2 notes: R10 — Abdominal and pelvic pain (via N94.-), R10-R19 — Symptoms and signs involving the digestive system and abdomen (R10-R19) (via N94.-), R11 — Nausea and vomiting (via N94.-), R12 — Heartburn (via N94.-), R13 — Aphagia and dysphagia (via N94.-), R14 — Flatulence and related conditions (via N94.-), R15 — Fecal incontinence (via N94.-), R16 — Hepatomegaly and splenomegaly, not elsewhere classified (via N94.-), R17 — Unspecified jaundice (via N94.-), R18 — Ascites (via N94.-), R19 — Other symptoms and signs involving the digestive system and abdomen (via N94.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 4 MS-DRGs: DRG 742 (MDC 13), DRG 743 (MDC 13), DRG 760 (MDC 13), DRG 761 (MDC 13).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):GEN025 — Other specified female genital disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified female genital disorders).

N93.0 — Postcoital and contact bleeding, N93.1 — Pre-pubertal vaginal bleeding, N93.8 — Other specified abnormal uterine and vaginal bleeding, N93.9 — Abnormal uterine and vaginal bleeding, unspecified, N94.0 — Mittelschmerz, N94.1 — Dyspareunia, N94.10 — Unspecified dyspareunia, N94.11 — Superficial (introital) dyspareunia, N94.12 — Deep dyspareunia, N94.19 — Other specified dyspareunia, N94.2 — Vaginismus, N94.3 — Premenstrual tension syndrome, N94.810 — Vulvar vestibulitis, N94.818 — Other vulvodynia, N94.819 — Vulvodynia, unspecified, N94.9 — Unspecified condition associated with female genital organs and menstrual cycle, N95.2 — Postmenopausal atrophic vaginitis, N96 — Recurrent pregnancy loss, N99.2 — Postprocedural adhesions of vagina, N99.3 — Prolapse of vaginal vault after hysterectomy, +94 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Bleeding”, “Retention”, “Hematocele”, …; these codes share that main term but sit in a different category of the Tabular List.

N92.1 — Excessive and frequent menstruation with irregular cycle (intermenstrual, irregular), N92.2 — Excessive menstruation at puberty (puberty), N92.3 — Ovulation bleeding (ovulation), N92.4 — Excessive bleeding in the premenopausal period (menopausal), N92.5 — Other specified irregular menstruation (latent), N92.6 — Irregular menstruation, unspecified (irregular), N93.0 — Postcoital and contact bleeding (contact), N93.1 — Pre-pubertal vaginal bleeding (pre-pubertal vaginal), N93.8 — Other specified abnormal uterine and vaginal bleeding (uterus, uterine, prepubertal), N93.9 — Abnormal uterine and vaginal bleeding, unspecified (disorder), N95.0 — Postmenopausal bleeding (postmenopausal), N97.0 — Female infertility associated with anovulation (anovulatory), N99.83 — Residual ovary syndrome (ovary syndrome), O00.90 — Unspecified ectopic pregnancy without intrauterine pregnancy (female NEC, with ectopic pregnancy), O00.91 — Unspecified ectopic pregnancy with intrauterine pregnancy (female NEC, with ectopic pregnancy, with intrauterine pregnancy), O02.0 — Blighted ovum and nonhydatidiform mole (dead, ovum), O02.1 — Missed abortion (fetus, dead, early), O08.1 — Delayed or excessive hemorrhage following ectopic and molar pregnancy (excessive, following ectopic gestation), O20.0 — Threatened abortion (antepartum, before 20 weeks gestation, threatened abortion), O20.8 — Other hemorrhage in early pregnancy (during pregnancy), +915 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Partial Thromboplastin Time (PTT) Test, Pregnancy Test, Prothrombin Time Test and INR (PT/INR)

Contextual Map

Every relationship of N94.89 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run N94.89 with these 8 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes (11)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 13 — Diseases and Disorders of the Female Reproductive System[MDC crossing]: “Diseases and Disorders of the Female Reproductive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 2,232 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026

Index entries (40)

  • Bleeding, vicarious[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Cephalomenia[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Colic (bilious) (infantile) (intestinal) (recurrent) (spasmodic), uterus NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Congestion, congestive, pelvic, female[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Cramp (s), uterus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Cyst (colloid) (mucous) (simple) (retention), canal of Nuck (female)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Cyst (colloid) (mucous) (simple) (retention), pelvis, female[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Cyst (colloid) (mucous) (simple) (retention), sebaceous (duct) (gland), genital organ NEC, female[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • and 32 more

Nearest codes (18)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Other specified conditions associated with female genital organs and menstrual cycle

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to N94.89 in its code family, with their registry titles.

View all codes in the N94 family